The goal of this poker portal is to show you the varied game Texas Hold'em Poker. It was important to us to clarify the rules of the game as clearly as possible, so that they are quickly accessible to the novice poker player. In addition, you will find with us all...

Pain is an unpleasant experience brought upon by a number of stimuli. It’s characterized by a discomforting sensation and can be described in a number of ways. There are cases in which eliciting pain is inevitable like in cases of medical tests, treatments or surgery. That is why an agent known as anesthesia is used to relieve pain momentarily for patients to undergo these treatments without having to experience pain.

What is Anesthesia?

Anesthesia is an agent which blocks a number of sensations, including pain, for a temporary basis. It is a pharmacologic agent that’s induced through several routes. It can also induce a state of analgesia, loss of responsiveness, decreased state of consciousness, reversible amnesia, loss of reflexes, decreased stress response and more. Anesthesia can be a single drug or a combination of multiple drugs to enhance their effectiveness in inhibiting pain. For patients about to undergo surgery, cocktails and combinations of anesthesia are used to ensure that pain is prevented and complications from surgery are minimized.

Handling Anesthesia Management

Anesthesia management is a way in which highly trained anesthesiologists and other healthcare practitioners manage and supervise the induction of anesthesia to a patient and monitor the patient’s condition preoperatively, intra-operatively and post-operatively. In anesthesia management, anesthesiologists have a goal to provide safe and optimal conditions for patients to be as comfortable as possible.

Every anesthetic agent is considered an essential component in anesthesia management. A team needs to be highly trained and specialized to ensure the patient’s condition and monitor for any changes in the cardiovascular and respiratory activity of the patient. Any untoward events should be dealt with quickly and treated promptly if any occurs in surgery.

High quality anesthesia management involves provision of anesthetic agent that is tailored to each patient on an individual basis. This means that the patient will be getting the right amount of anesthesia that would neither be too much that it leads to toxicity or too little that it isn’t enough to inhibit the pain sensation. Top notch anesthesia management involves three components in which the patient is monitored.
● Pre-anesthetic evaluation
● Individualized anesthesia management
● Induction of anesthesia
● Management of patients during the procedure
● Post-anesthetic evaluation
● Pain management post-operatively

A high quality anesthesia management involves a team of anesthesiologists, surgeons, technicians, nurses and other healthcare practitioners who are highly trained and specialized in understanding the effects of anesthesia and handling patients under anesthesia. Anesthesia services need to be of high quality but at the same time still be focused on caring for the patient and individualizing care and being cost effective. There are crucial components in anesthesia services which are the following:
● Patient safety
● Surgeon satisfaction
● Efficiency in the operating room
● High quality measurement and reporting
● Specialized team of experts in the field
● Thorough understanding of anesthesia
● Effective pain management
● Thorough post-operative care
● Leadership and teamwork

Anesthesia management is crucial in preventing the experience of pain for patients about to undergo procedures or surgery. Effective anesthesia management ensures high quality pain management while still maintaining individualized care for each patient. Click here for more…

ACLS Renewal

ACLS or Advanced Cardiac Life Support is a set of clinical interventions done in the goal to save a person’s life. It is usually taken in the form of a class consisting of a lecture, examinations and a practical simulation in applying the skills involved in ACLS. Advanced Cardiac Life Support is often a requirement in some healthcare institutions for their medical personnel to exercise life-saving measures for the benefit of their patients. ACLS is often taken by several healthcare professionals like doctors, nurses, emergency medical technicians, pharmacists, paramedics and other medical personnel.

OVER THE PACIFIC OCEAN (AFPN) — Medical technicians Staff Sgt. K.C. Martin (left) and Senior Airman Courtney Johnson practice their advanced cardiac life support skills on a dummy. The training took place aboard a KC-135 Stratotanker aircraft leaving Marine Corps Base Kaneohe Bay, Hawaii. Sergeant Martin and Airman Johnson are with the 349th Aeromedical Evacuation Squadron at Travis Air Force Base, Calif. They took part in three days of training at the Marine base. The tanker is from the Reserve’s 939th Air Refueling Wing at Portland International Airport, Ore. (U.S. Air Force photo by Master Sgt. Ruby Zarzyczny)

Getting the ACLS Credentials

Acquiring training in Advanced Cardiac Life Support is one of the most sought out credentials among healthcare professionals. Not only does it give you a license which pertains you’re allowed to do procedures only trained emergency responders can do, you are also introduced to a number of medical interventions that may or may not be already introduced to you in the healthcare setting. Some healthcare institutions require ACLS for some of their personnel. For example, healthcare practitioners assigned in cardiology department, the intensive care unit complex, the operating room complex, the hemodialysis unit and other specialized areas are required to have training in Advanced Cardiac Life Support, depending on their hospital’s policy. Only those accredited by the American Heart Association are allowed to give training in ACLS.

Duration of ACLS Certification

Once you have an Advanced Cardiac Life Support certification, it usually lasts for 2 to 3 years. Taking a course in Basic Life Support or BLS is often a pre-requisite before obtaining a license in ACLS since most of the basic principles in Advanced Cardiac Life Support are taught and practiced in Basic Life Support. A course in ACLS involves a series of didactics or lecture to introduce the principles and concept on ACLS. Examinations may be required by the ACLS provider but that is depending on the instructor if he or she will require an examination, though most examinations are only done to test your basic knowledge on life-saving measures. After the lecture, a series of sessions involving simulations on the different skills in Advanced Cardiac Life Support is done to test the level of your skills. Most ACLS training sessions last from 3 to 5 days so that sufficient content is covered.

Once your license in Advanced Cardiac Life Support is expired, you’ll need to renew it. Taking another refresher course in ACLS is required though there are also online renewal options for ACLS now. Load more…

It’s undeniable that even though the roof acts as a protective layer for your home which shields you from the various weather conditions, it is still considered as the most exposed part of the house and the most vulnerable one to sustain damage. One of the most devastating roof problems for homeowners is rotting wood on their roof. It’s a troublesome problem to deal with and it can take a lot of work. This may result from water damage, usually from a leaky ceiling or a damaged roof which allowed water to seep through the wood and also aging. If left unattended, it can lead to more extensive damage like a damaged ceiling or a holed up ceiling. However, taking the right steps and being equipped with the right tools, you can resolve this problem easily.

Measurements and Guides

To ensure that you can work with accuracy, you can use chalk to mark where you’ll be cutting next and proceed in removing and then replacing the damaged and rotten wooden shingles in your roof.

Start Removing Things

To repair a roof with rotten wood, you first need to remove the shingles and the tar paper that are wrapped around the rotten wood. Make sure that you’re working while observing utmost safety since you may fall down through your roof if you’re not careful. If it’s just a small area, you can use a flat bar or the claw of your hammer to tear the shingles off and remove them. For bigger ones, you can use a roofing shovel for that job. Next, start by carefully removing the nails on the shingles so you can replace the old, rotten shingles with new ones that are stronger and sturdier. Then, remove the surrounding tar paper on the wooden shingles with a knife.

Once you finish in removing the nails, tar paper and the shingles, you can now start cutting the rotten wood on your roof by using a circular saw. Be careful in manipulating this since you may accidentally cut yourself or fall from the roof. A cutting depth of 1/16 up to 1/8 inches that’s deeper than the thickness of the boards would be adequate. After making the cut, you can now remove the rotten section of the wood. Upon taking out the rotten wood, you can also remove the sheathing and the nails thereafter.

Finishing Touches

Replace the new sheathing and then nail them on the rafters, making sure that they’re adequately secured. After that, apply felt paper which will serve as the layer on to the sheathing. You can then install the brand new shingles on your roof, replacing the old and rotten sections with stronger ones. Load more…

L-Ascorbic Acid, Ascorbic Acid or simply Vitamin C is an essential nutrient for both humans and a number of animals. It’s acidic in nature, hence the name. It’s an all too familiar nutrient that has become a regular household name for many years already. From kids to full-grown adults, Vitamin C is a well-known nutrient. Vitamin C has a myriad of benefits ranging from digestive system benefits and as well as preventing scurvy. Another one of those benefits applies for the skin as well.

Vitamin C supplements are nothing new. They also deliver the benefits that Vitamin C has for the skin. However, to deliver all the good things for the skin, Vitamin C has to take a form that’s more readily available so that its effects are maximized. In that sense, Vitamin C serums are made for those who want healthy and revitalized skin.

What is Vitamin C Serum?

Vitamin C Serums are lotions, moisturizers, creams and ointments that are applied on the skin to deliver all the benefits of Vitamin C. You may wonder why there was a need for Vitamin C to be turned into these forms. This is because the common Vitamin C supplements that we take, though good in itself, that particular form needs to be processed, synthesized and distributed by the body so that it shows the effects of Vitamin C. However, it’s a long and complicated process that takes too much time. If you want to feel the effects of Vitamin C on your skin, choosing a readily available form is necessary. In that sense, Vitamin C serums are made for that very purpose.

Vitamin C serums for the faceare easily used by applying a few drops on the finger or directly on the skin and massaging thereafter or just leaving them on their own. They are usually applied after cleansing the skin and being allowed to dry. Directions on how to apply vitamin C serums are found on their containers.

Vitamin C Serum Benefits

It’s common knowledge that Vitamin C carries a lot of benefits. In fact, there’s a long list that ranges from benefits like boosting the strength of your immune system up to managing the stress. But how does Vitamin C work on our skin?

Here are somebenefits of Vitamin C serumfor the skin.

Younger and More Vibrant Skin – As we age, it’s only natural that our skin gets old and wrinkled as well. Vitamin C stimulates the synthesis of collagen, resulting in skin that looks younger and healthier.

Protects Your Skin from Damage – Through the day, our skin is exposed to a number of factors that may lead to damage like heat, pollution, cigarette smoke, sweating and stress. Vitamin C can help protect your skin from getting damaged because of its antioxidant properties, preventing injury caused by those notorious free radicals.

Brighter and Smoother Complexion – As the skin gets old or damaged, it can easily be seen how changes occur over the course of the day, the week or the year as the skin quality is apparent evidence. Exfoliation is the skin’s natural way of recovery from such damage but it doesn’t occur at a pace that we would like. What Vitamin C does is stimulate exfoliation, letting the skin repair itself faster and resulting in a smoother and brighter skin complexion.

Prevent Skin Discoloration – Hyperpigmentation is a common skin problem. It’s characterized by a dark discoloration on the skin that is due to an increase in melanin. Hyperpigmentation may be caused by inflammation, damage due to overexposure to the sun, skin injuries or hormonal imbalances. This leads to the unattractive pigments usually found on the face, neck, shoulders or arms. Vitamin C serum for hyperpigmentationprovides protection with its antioxidant properties and brightens your skin, allowing it to return its smoothness.

Vitamin C Serums provide the skin with the several benefits that Vitamin C can bring. These benefits include younger looking skin that’s healthier and more vibrant, smoother complexion, an accelerated rate of the skin’s natural repair process, providing protection from a number of harmful factors like pollution, smoke and sunlight, diminishing lines and wrinkles and also serve as one of the solutions for hyperpigmentation.

However, it is by no means that Vitamin C Serums are the ultimate cosmetic products in the market. It should be used properly as advised by the directions in their containers and you should first consult your physician if there are any contraindications for your use. Vitamin C Serums work best together with cosmetic products like exfoliants, sunscreens, lotions and other products that aim to provide you with healthier skin. Discover more…

The goal of this poker portal is to show you the varied game Texas Hold’em Poker. It was important to us to clarify the rules of the game as clearly as possible, so that they are quickly accessible to the novice poker player.

In addition, you will find with us all sorts of tips that will make you a guideline to succeed in poker game. The idea was to help you quickly gain a foothold in Texas Hold’em game and lay a solid foundation, regardless of where you plan to play poker: whether it should be a party game with friends or even an evening with like-minded people on the Internet, like for example in the online casino.

Our guide can not make you Katja Thater. In any case, here you will find a lot of clues that will help you unmask the classic traps in the game and avoid them cleverly. We lay the foundation on which you will build yourself until you become a professional poker player (we do not want to exclude that under any circumstances). However, routine comes ultimately through practice.

At online-pokern24.com you will find a gambling aptitude test, as well as a gambling school on Book of Ra, Blackjack, Roulette and Video Poker.

You can not call a poker game a game of chance. There are a lot of criteria that have a more significant relevance to the gameplay, such as: the odds, other players’ tactics, your table position, your own poker strategy. You have to pay attention to all the points listed here to become a successful player. Clinging to just one of them can certainly not lead you to success. Such an approach to the game will undoubtedly lead to enormous losses.

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In this poker guide we have some important articles.
We have compiled the following chapters for you:

Guide to the poker game “Texas Hold’em”

Strategy in the “Pre-Flop” phase

Tips for Pre-Flop Phase

Ranking of leaves

Table position and the kicker

probabilities

bluff

Not only is there a good poker site, but many that bring all the benefits and peculiarities. Some offer poker without download or signup, while others offer extra bonuses.

Online poker with Texas Hold em is fun. Read the opinions of the players.

Play poker in the largest online poker room in the world. You can not call a poker game a game of chance. However, if you want to try your luck, we can warmly recommend the popular German online casino. Read more…